Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco
The Center of Diabetes and Cardiometabolic Health (CDCH) provides complete care for Nonalcoholic Steatohepatitis (NASH). Our experienced specialists use a combination of advanced imaging, blood tests, lifestyle counseling, and personalized treatment plans to support long-term liver health from an early stage.
What Is NASH Disease?
NASH (Nonalcoholic Steatohepatitis) is a serious liver disease. It happens when fat builds up inside the liver and causes inflammation.
This inflammation damages liver cells over time. It is a more severe form of NAFLD (Nonalcoholic Fatty Liver Disease). In this stage, the liver is not only fatty but also actively injured.
In 2023, doctors renamed NASH to MASH (Metabolic Dysfunction-Associated Steatohepatitis). This new name shows that the disease is closely linked to problems with metabolism, such as obesity, insulin resistance, and type 2 diabetes. Both names are still used.
Why Does NASH (MASH) Happen?
NASH (MASH) develops when too much fat collects in the liver and the body cannot process it properly. This leads to inflammation and damage to liver cells. Common causes and risk factors include:
Fatty Liver (Steatosis)
- Obesity and excess abdominal fat
- Type 2 diabetes
- Insulin resistance
- Metabolic syndrome
- High triglycerides and low HDL cholesterol
- Rapid weight loss
- Risk increases with age
Hormonal and Medical Conditions
- Sleep apnea
- Polycystic ovary syndrome (PCOS)
- Hypothyroidism
- Long-term use of tamoxifen, amiodarone, and some antiretroviral drugs.
- High triglycerides and low HDL cholesterol
- PNPLA3 gene variants
MASH Liver Disease Symptoms
NASH liver disease (MASH) often has no symptoms in the early stages. Many people do not know they have it until the liver is already damaged. Over time, it can lead to serious conditions like liver scarring (cirrhosis) and liver failure.
Early-Stage Symptoms
- Persistent fatigue
- Unexplained weight loss
- Upper right abdominal discomfort
- Weakness or Malaise
Advanced stage Symptoms
- Yellowing of the skin and eyes
- Swelling in the legs, ankles, and feet (Edema)
- Easily Bruising or Bleeding
- Loss of Appetite and Nausea.
- Fluid accumulation in the abdominal cavity (Ascites)
- Cognitive confusion, memory difficulties, and mood changes
- Intense itching (pruritus).
How MASH Disease Progresses?
MASH (Metabolic Dysfunction-Associated Steatohepatitis) develops in stages. Understanding these stages shows why early diagnosis and treatment are important.
Simple Steatosis (Fatty Liver):
Fat builds up in the liver with little or no inflammation. This stage is usually reversible with lifestyle changes.
NASH / MASH:
The liver becomes inflamed, and liver cells start to get damaged. With proper treatment and lifestyle changes, this stage can still be reversed.
Fibrosis:
The liver forms scar tissue due to ongoing inflammation and damage. Early fibrosis may still improve if the cause is treated.
MASH Cirrhosis:
Severe scarring replaces healthy liver tissue. The liver cannot function properly at this stage, and the damage is usually permanent.
Liver Failure or Hepatocellular Carcinoma (HCC):
This is the final stage. The liver loses its ability to work, or liver cancer develops. Patients may need a liver transplant evaluation at this point.
How Is NASH Diagnosed?
At CDCH, we use a non-invasive-first diagnostic pathway for NASH Disease Treatment. That helps to build a precise, complete picture of your liver health.
Step 1: Clinical Evaluation
Every patient starts with a complete medical history and a physical exam. We check BMI, waist size, blood pressure, and review your medications. Then we calculate the Fib-4 Index and NAFLD Fibrosis Score to check for your liver health. This allows us to assess your liver before performing imaging tests.
Step 2: Comprehensive Blood Testing
We ordered a targeted blood panel to check your liver health. This panel shows liver inflammation and bile duct stress, and it also measures metabolism and fibrosis. The tests include ALT, AST, GGT, ALP, glucose, HbA1c, lipids, platelets, and the ELF test. These results give our specialists a complete view of your liver function.
Step 3: Imaging Studies
Imaging helps us visualize the liver’s structure and fat accumulation. We start with an ultrasound to detect fatty changes and enlargement. We use a CT scan for more detail, if needed. MRI measures liver fat precisely using PDFF and provides an accurate, non-invasive assessment for further testing and care.
Step 4: FibroScan and Elastography
FibroScan, also called transient elastography, is a painless test. It checks how stiff your liver is and how much fat it has. It uses ultrasound and gives quick results. This test is a safe alternative to a liver biopsy. It helps find damage from NASH, NAFLD, hepatitis, or alcohol-related liver disease. These tests guide our specialists in planning your care.
Step 5: Liver Biopsy
A liver biopsy removes a small piece of liver tissue for testing. It is the best way to check for liver disease, fat, inflammation, and fibrosis. We use it when other tests are unclear or to confirm treatment needs. The procedure takes 15–30 minutes and uses local anesthesia to reduce pain. We also use it when direct tissue analysis is required.
Our Services for Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco
CDCH offers comprehensive NASH disease treatment in Daly City, San Francisco. Our team uses targeted therapies and nutrition guidance for reversing NASH Cirrhosis.
Lifestyle Modifications
Weight loss for NASH is the most effective treatment. Achieving a 3–10% reduction in body weight can reduce liver fat, resolve inflammation, and reverse early fibrosis. Our team builds personalized plans to monitor progress. We support patients with diet, exercise, and coaching to make lasting, healthy changes.
Medications
We use medications to help reduce liver fat, improve inflammation, and slow the progression of MASH (NASH). We offer treatment options for patients with non-cirrhotic disease and fibrosis. We also recommend therapies for selected patients based on their condition and overall health.
Bariatric Surgery
We offer bariatric surgery for severe obesity. It is the most powerful intervention for liver fat and inflammation. We offer Procedures like sleeve gastrectomy and Roux-en-Y gastric bypass. They produce sustained weight loss and can resolve MASH in many patients. CDCH coordinates referrals to top Bay Area surgical specialists to ensure safe, effective care.
Liver Transplant Services
NASH and liver transplant are now the leading causes of advanced liver disease and liver transplant. Patients with end-stage liver damage may require a liver transplant. Our team provides complete liver transplant care. We evaluate your eligibility, prepare you for the procedure, and perform the transplant at our center. We guide you through every step of the process.
Why Choose Our Clinic for Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco
At CDCH, we support long-term Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco to reduce disease progression and recurrence.
We use comprehensive diagnostics, including blood panels, imaging, and elastography, for accurate assessment.
Experience treating complex hiatal hernia and GERD cases
We manage related conditions like diabetes, obesity, and cardiovascular risk alongside NASH Treatment.
We ensure close monitoring and regular follow-ups to track progress and adjust treatment.
We accept most major insurance plans(Medicare, Cigna, Fidelis Care, Beacon, and Carelon) and provide clear cost guidance.
Meet Our Team
Our specialists are experienced and provide high-quality, personalized care. Each team member works closely with you to manage MASH (NASH) and support your liver health.
Board Certified
All providers meet the highest standards of care
Same-Week Appointments
Quick access to expert care when you need it
Local to Bay Area
Serving Daly City, San Francisco & surrounding areas
Conveniently Located in Daly City, San Francisco
At CDCH, we make NASH (MASH) care easy and accessible. We offer personalized Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco. Our team focuses on helping patients improve liver health and achieve better long-term outcomes.
FAQs About Nonalcoholic Steatohepatitis (NASH) Disease Treatment in Daly City, San Francisco
Get Expert Guidance to Manage NASH and Support Your Liver Health
- Same-week appointments available
- Board-Certified Specialists
- Personalized Treatment Plans